Central Carolina-Ima, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CENTRAL CAROLINA-IMA, LLC

Practice address

1139 Carthage St
Ste 110
Sanford, NC 27330-4111

Phone

(919) 774-2195

Fax

(919) 776-8131

NPI assigned

Oct 24, 2013

Last updated

May 26, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Wesley O. James

Title

Regional Cfo, Tenet

Phone

(404) 265-5009

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Pavan Pyreddy, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Burlington, NC
  • NPI 1255450532
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1382572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464220800000",
    "number": "1144658311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742790",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303742790",
            "telephone_number": "919-774-2195",
            "fax_number": "919-776-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1139 CARTHAGE ST",
            "address_2": "STE 110",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273304111",
            "telephone_number": "919-774-2195",
            "fax_number": "919-776-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL CAROLINA-IMA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-24",
        "last_updated": "2016-05-26",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "REGIONAL CFO, TENET",
        "authorized_official_telephone_number": "404-265-5009",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Carolina Optometry, P.a.
• Central Carolina Orthopaedic
• Central Carolina Physicians - Sandhills, LLC (Family Health Associates of Sanford)
• Central Carolina Physicians - Sandhills, LLC
• Central Carolina Surgical, PA
• Central Emergency Physicians, PLLC
• Erin L Chambers, PA-C
• Janessa Jean Chambers
• Emily H Chang, MD
• Erin R Chattaway

• Internal Medicine Physician in Sanford, NC
• Providers in Sanford, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.